08 July 2022: Articles
Recurrent Myocarditis Treated with Intravenous Immune Globulin and Steroids
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease
Brandon H. Schwartz A , Nathan R. Stein E , Shervin Eshaghian E , Alan C. Kwan C , Michelle M. Kittleson B*DOI: 10.12659/AJCR.935974
Am J Case Rep 2022; 23:e935974
Figure 2. Cardiac MRI images demonstrating evidence of myocarditis. (A) STIR acquisition of mid-ventricular short axis: increased T2 signal intensity (SI) in the myocardium (SI myocardium: 275, SI skeletal muscle: 100). (B) MOLLI T1 map of mid-ventricular short axis: diffusely and focally (green arrows) increased T1 values (T1 mid-septal: mean 1170 msec, maximum 1364 msec). (C) T2-prepped SSFP T2 map of mid-ventricular short axis: diffusely- and focally-increased (blue arrows) T2 values (T2 midseptal: mean 67 msec, max 80 msec). (D) PSIR late gadolinium enhancement (LGE) 4-chamber view. (E) Short axis stack: dense regions of mid-myocardial LGE (red arrows) consistent with acute injury, necrosis, and possible scarring.